Healthcare Provider Details

I. General information

NPI: 1447519962
Provider Name (Legal Business Name): HOSPICIO AMOR Y TRANQUILIDAD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2012
Last Update Date: 05/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE DE DIEGO E
MAYAGUEZ PR
00680-4866
US

IV. Provider business mailing address

PO BOX 1467
MAYAGUEZ PR
00681-1467
US

V. Phone/Fax

Practice location:
  • Phone: 787-464-4766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: MR. ORLANDO RAMON LUGO
Title or Position: PRESIDENT
Credential:
Phone: 78746644766